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首页> 外文期刊>Frontiers in Public Health >Addressing Hearing Health Care Disparities among Older Adults in a US-Mexico Border Community
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Addressing Hearing Health Care Disparities among Older Adults in a US-Mexico Border Community

机译：解决美墨边境社区中老年人的听力保健差异

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Hearing loss is associated with cognitive decline and impairment in daily living activities. Access to hearing health care has broad implications for healthy aging of the U.S. population. This qualitative study investigated factors related to the socio-ecological domains of hearing health in a U.S.–Mexico border community experiencing disparities in access to care. A multidisciplinary research team partnered with community health workers (CHWs) from a Federally Qualified Health Center (FQHC) in designing the study. CHWs conducted interviews with people with hearing loss (n = 20) and focus groups with their family/friends (n = 27) and with members of the community-at-large (n = 47). The research team conducted interviews with FQHC providers and staff (n = 12). Individuals experienced depression, sadness, and social isolation, as well as frustration and even anger regarding communication. Family members experienced negative impacts of deteriorating communication, but expressed few coping strategies. There was general agreement across data sources that hearing loss was not routinely addressed within primary care and assistive hearing technology was generally unaffordable. Community members described stigma related to hearing loss and a need for greater access to hearing health care and broader community education. Findings confirm the causal sequence of hearing impairment on quality of life aggravated by socioeconomic conditions and lack of access to hearing health care. Hearing loss requires a comprehensive and innovative public health response across the socio-ecological framework that includes both individual communication intervention and greater access to hearing health resources. CHWs can be effective in tailoring intervention strategies to community characteristics.
机译：听力丧失与认知能力下降和日常生活活动障碍有关。获得听力保健对美国人口的健康老龄化具有广泛的意义。这项定性研究调查了在获得护理方面存在差异的美国-墨西哥边境社区中与听力健康的社会生态领域相关的因素。一个多学科研究团队与联邦合格健康中心（FQHC）的社区卫生工作者（CHW）合作设计了这项研究。社区卫生工作者与听力障碍者（n = 20）进行访谈，并与家人/朋友（n = 27）和广大社区成员（n = 47）进行焦点小组访谈。研究小组对FQHC提供者和员工进行了访谈（n = 12）。个人经历了沮丧，悲伤和社交孤立，以及对交流的沮丧甚至愤怒。家庭成员经历了交流恶化的负面影响，但很少表达应对策略。跨数据源的普遍共识是，初级保健中不能常规解决听力损失，而辅助听力技术通常负担不起。社区成员描述了与听力损失有关的污名，以及需要更多的机会获得听力保健和更广泛的社区教育。调查结果证实了由于社会经济状况和无法获得听力保健而加剧的听力障碍对生活质量的因果关系。听力损失需要在整个社会生态框架内采取全面创新的公共卫生应对措施，其中包括个人交流干预和更多获取听力健康资源的途径。 CHW可以有效地根据社区特征制定干预策略。

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